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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SMITH & NEPHEW, INC. ENDOSCPC CANN.DRL.BIT 4.5 STRL; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT

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SMITH & NEPHEW, INC. ENDOSCPC CANN.DRL.BIT 4.5 STRL; INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT Back to Search Results
Model Number 7207315
Device Problem Dull, Blunt (2407)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 07/31/2020
Event Type  malfunction  
Event Description
It was reported that, during a posterior cruciate ligament surgery, the "4.5 endoscopic cannulated drill bit" was dull and the surgeon could not use it.The procedure was successfully completed without significant delay using a back-up device.No patient injuries or other complications were reported.All available information has been disclosed.If additional information should become available, a supplemental report will be submitted accordingly.
 
Manufacturer Narrative
One sterile 4.5mm cannulated endoscopic drill bit used for treatment, was returned for evaluation.Provided states: ¿during a posterior cruciate ligament surgery, the "4.5 endoscopic cannulated drill bits" were dull and the surgeon could not use them¿.Complaint history review indicated no similar allegation for the lot number reported.Batch review did not indicate a condition, product or procedure failure that supported the allegation although occurrences drove an investigation resulting with the process improvement.Product met specifications upon release to distribution.
 
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Brand Name
ENDOSCPC CANN.DRL.BIT 4.5 STRL
Type of Device
INSTRUMENT, SURGICAL, ORTHOPEDIC, AC-POWERED MOTOR AND ACCESSORY/ATTACHMENT
Manufacturer (Section D)
SMITH & NEPHEW, INC.
130 forbes blvd.
mansfield MA 02048
MDR Report Key10454453
MDR Text Key204382407
Report Number1219602-2020-01313
Device Sequence Number1
Product Code HWE
UDI-Device Identifier03596010425409
UDI-Public03596010425409
Combination Product (y/n)N
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type company representative,foreig
Type of Report Initial,Followup
Report Date 09/21/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Expiration Date04/05/2024
Device Model Number7207315
Device Catalogue Number7207315
Device Lot Number2031364
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer09/14/2020
Initial Date Manufacturer Received 07/31/2020
Initial Date FDA Received08/26/2020
Supplement Dates Manufacturer Received09/18/2020
Supplement Dates FDA Received09/21/2020
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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